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!ed] <br />City of Everett <br />Sewer Application and Permit <br />No. 23957 <br />DATE <br />4iai01 <br />2111 16th Street <br />Service Address <br />OW <br />Billing Address <br />City, State, Zip <br />Owner (Mortgagor) — <br />Billing Name <br />City of Everett <br />Connection By- <br />—'as — <br />Phone <br />DESCRIP.ION: <br />Lot <br />Plat <br />Unplatted Descr <br />Block <br />T,mp Pprmitt repair <br />Remarks: <br />SEE SKETCH ATTACHED <br />T NO. V 1-1 —25t-5 <br />Utility Account No.—_ . <br />Permit Fee None <br />Connection Charge(s)— <br />None <br />Total F <br />rep y-17-g1 <br />Don Miller <br />Signed <br />Customer <br />INSPECTION <br />Sewer District <br />Monthly Sewer Service, <br />Monthly Sewer Constr. <br />Abutting Lot Line <br />N,S,E,W, <br />A R Theal <br />Approved By <br />City Engineer <br />E £.ond <br />Issued By <br />Inspection By___ /('011 '_ t <br />Date Inspected 7 /- rl <br />No. 23957 <br />